Mr Jonathan David Cook, OT | |
812 S Park St, Carrollton, GA 30117-4412 | |
(770) 214-7323 | |
Not Available |
Full Name | Mr Jonathan David Cook |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 812 S Park St, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225092083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 002803 (Georgia) | Primary |
Provider Name | Physiotherapy Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760568257 PECOS PAC ID: 3577470442 Enrollment ID: O20241108001033 |
Mailing Address | Practice Location Address |
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Mr Jonathan David Cook, OT 812 S Park St, Carrollton, GA 30117-4412 Ph: (770) 214-7323 | Mr Jonathan David Cook, OT 812 S Park St, Carrollton, GA 30117-4412 Ph: (770) 214-7323 |
Mrs. Christina Mckenzie, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2455 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 770-834-1737 | |
Adreana Beaumont, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2455 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 770-834-1737 | |
Mrs. Tina Pratt, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957 | |
Mr. Evan Drew Brooks, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1124 N Park St, Carrollton, GA 30117 Phone: 770-834-0873 | |
Alicia Mccall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957 | |
Emma Lewis Harrell, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1124 N Park St Ste M, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118 |